Impactful Utilization Review Case Manager - PHP
luminishealth
Luminis Health is seeking a Utilization Review/Case Manager for the Lanham Partial Hospitalization Program. This role focuses on integrated utilization review, case referrals, and collaboration with clinical teams to ensure appropriate patient placement. Responsibilities include obtaining clinical data, determining medical necessity, and coordinating with external review agents for approvals. BA/BS with 2 years of utilization experience preferred. #J-18808-Ljbffr luminishealth
- Luminis Health in Lanham, MD is seeking a Utilization Review/Case Manager for the Partial Hospitalization Program to perform integrated utilization reviews and coordinate patient placement. You will collaborate with medical staff to obtain and review clinical documentation...SuggestedFull time
$81.97k - $122.95k
Luminis Health Title: Utilization Review/Case Manager-Partial Hospitalization Program Department: Lanham Partial Hospitalization Reports To: Director- Clinical Director Behavioral Health Lanham Cost Center/Job Code: 41000-42002-001148 FLSA Status: Exempt Position...SuggestedFull time- Luminis Health is seeking a Utilization Review/Case Manager for the Lanham Partial Hospitalization program. The role focuses on concurrent utilization review, case referrals, and ensuring appropriate patient placement. Collaboration with medical staff and payors supports...Suggested
- ...Case Manager RN Signon Bonus $5,000 for External Applicants! This... ...clinical tools and information/data review to conduct an evaluation of... ...and social indicators which impact care planning. Conduct... ...meeting goals and objectives. Utilize case management processes in...SuggestedFull timeTemporary workLocal areaRemote workRelocation packageMonday to Friday1 day per week
$35 - $50 per hour
...Case Manager The Case Manager works under the direction of the clinical director of care... ...timely transitions across the continuum. Utilizing a collaborative process will identify assess... ...is able to submit appropriate denial review for Medicare Medicaid and commercial insurers...SuggestedFull time- Case Management Manager opportunity alert—step into a leadership role at a large hospital in a big city where your expertise will shape... ...a vital role in interdisciplinary discharge planning, utilization review, and transitions of care. Within this collaborative Care Management...
$25 per hour
Join our team as a Case Manager to work alongside the clinical team and ensure life-skills improvement and long-term sobriety for patients... ...the patient's discharge dates, which are determined by the Utilization Review, Clinical, and Medical team. Accurately share information...Temporary workWork experience placement$64.4k - $79.86k
...determined based on education, relevant case management experience and relevant certifications... ...through monthly Town Halls and Annual Reviews Service Coordination, Inc. is looking... ...policies and procedures Meets performance utilization benchmark to ensure compliance with SCI...Full timeTemporary workH1bLive inWork at officeLocal areaWork from homeShift work$65k - $68k
...TOGETHER. WHAT YOU WILL DO As the Internal Case Manager (PCP Specialist) you will be... ...program implementation by checking records, reviewing data regularly, observing staff and interviewing... ...document and keep data, and access and utilize database records. Participate in...Full timePart timeWork at officeRemote work- ...addiction treatment. Our programs - spanning detox, residential, PHP, IOP and outpatient services - have transformed the lives of... ...and timely client documentation, collaborating with Utilization Review as necessary What We're Looking For Master's degree (or higher...PHPTemporary workFlexible hours
$35 - $50 per hour
Position Objective The Case Manager works under the direction of the clinical director of care... ...transitions across the continuum. Utilizing a collaborative process, will identify (... ...and is able to submit appropriate denial review for Medicare, Medicaid and commercial insurers...Full time$95k - $102k
## RN Case Manager - Montgomery CountyApplyremote type: Hybridlocations: MD - Remote: Montgomery... ...quality gap initiatives and ED and IP utilization. The RNCM collaborates with members to... ...: Uses metrics and data to evaluate impact and refine their approach, holding self...Local areaRemote work$74.21k - $134.6k
....Collaborates with NP/PA Risk Management WC TPA and medical providers to monitor the progress of case management in terms of established... ...first aid and report review.Performs pre-employment physical... ...implications for personal health and the impact on job performance. Consults...Temporary work$177.3k - $211.4k
...popular, open-source Drupal Content Management System and other open-source... ...to learn how the system impacts them, capture and validate requirements... ...Experience developing PHP-based web applications Experience... ...("Boeing"), worldwide. To review Boeing's Privacy Policy, copy...PHPContract workRemote workWorldwide- Johns Hopkins Medicine in Annapolis, MD is seeking a Home Care Coordinator Discharge Planner to coordinate patient discharge from hospital to home. This role emphasizes discharge planning without hands-on clinical care. The position requires a BSN and RN licensure, active...
$190k - $240k
...Government's Corporate Management Services (CMS) organization... ...with broad enterprise impact, you will find it here.... ...administrative tasks. Utilize AWS services, including... ...may be considered case-by-case. Desired Qualifications... ...-native scripting) PHP .NET C# Microsoft...PHPFlexible hours- ...social workers, physicians and the interdisciplinary team, the Case Manager provides leadership and advocacy in the coordination of... ...year of experience in case management, discharge planning or utilization review, preferred. Valid state license as a registered...Full timeLocal areaWorldwideDay shift
- ...Nurse Case Manager Crisis24, a GardaWorld company, is widely regarded as the leading integrated... ...extraordinary where growth and impact converge. We are looking for a nurse... ...provision of Medical Assistance. Our role is to review medical information in a timely fashion...
- ...treatment, partial hospitalization (PHP), intensive outpatient (IOP),... ...is to “Make a difference so impactful, that we get to experience... ...and third-party payers. # Case management, triage, and referral:... ...interested, we encourage you to apply—we review applications regularly....PHPWork at office
- ...evaluations, interviews, and referrals as appropriate. Maintain accurate records, including case histories, progress notes, treatment plans, and test results. Participate in team meetings to review progress and coordinate services with internal and external resources. Provide...Full timeLocal areaDay shift
- ...healthcare professionals and community partners to maintain continuity of care. Provide crisis intervention and advocate for patient needs. Utilize EMR systems and evidence-based social work practices to monitor outcomes. Support discharge planning and connect patients with...
$37.38k - $65.41k
...Division COO - Operations Job Classification Title Correctional Case Manager (S) Position Number 60068924 Grade NC07 About Us The NC... ...responses to supplemental questions. Incomplete applications may impact screening and salary determination. Applicants may be subject...Full timeContract workWork experience placementWork at officeTrial periodNight shiftWeekend workAfternoon shift$65k
Case Manager Posted Thursday, June 18, 2026 at 4:00 AM Support Services/ Multi-Locations Rate of Pay $65,000/Annually FLSA Status: Exempt... .... Bi-weekly supervision with Director. Bi-weekly payroll review and approval. Weekly monitoring of LTSS for EVV accuracy. Make...Flexible hoursAfternoon shift- ...Our programs-spanning detox, residential, PHP, IOP, and outpatient services-have transformed... ...professionally while making a lasting impact on the lives of those they serve. What You... ..., family, and couples therapy sessions Manage a caseload and oversee clients' clinical care...PHPTemporary workFlexible hours
- ...in Inspiring Hope and Building Futures. JOB SUMMARY: The Lead Case Manager improves the well-being of current or formerly homeless individuals... ..., and quality standards within the field. Monitor and review client files and client information in assigned databases such...Permanent employmentContract workTemporary workWork experience placementWork at officeMonday to FridayFlexible hours
$18 - $23 per hour
...Luminis Health Title: Treatment Assistant/Case Manager (TA/CM) Job Code: 001259 FLSA Status: Nonexempt Position Objective: This... ...incurred by the recipient. Candidates are encouraged to review their mobile carrier's plan for applicable text messaging rates...Full timeTraineeshipWork experience placement$25 per hour
...Job Description Job Summary The Family Consultant and Case Manager serves as the primary coordinator for Autism Waiver participants... ...Develop individualized treatment plans with measurable goals, review progress, revise plans, and collaborate with providers....Hourly payFull time- ...level of care, including detox, residential, PHP, IOP, and outpatient services. The secret... ...’re passionate about recovery and want to impact others in a meaningful way, we warmly... ...to join our growing family! What You’ll Do Manage the HR onboarding and termination process...PHPTemporary workWork at officeFlexible hours
$71k - $90.5k
...back into the community. The TOC Registered Nurse Care Manager (RNCM) coordinates with hospital case managers to determine members’ needs and to complete... ...appropriate ICD or CPT coding as evidence of gap closure. Utilize care facilitation, electronic health records, and...Work experience placementLocal area- ...passionate individuals for the role of the Case Management Specialist Supervisor , so come join our team and make a meaningful impact on youth and the community at DJS! The... ...coordinate services, and resolve concerns Reviewing case reports, recommendations, and related...Permanent employmentRemote workFlexible hoursAfternoon shift
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